Child and Adolescent Psychiatry

Substance Use and Abuse 207 Box 26.2A summary of ICD-10 criteria for Dependence syndrome∗ Three or more of the following have oc ...

208 Chapter 26 Empirical studies suggest that there is a single dimension of harmful use that encompasses both sorts of symptoms ...

Substance Use and Abuse 209 particularly effective when administered by highly skilled therapists, but has much smaller effects ...

CHAPTER 27 Maltreatment Maltreatment of children and adolescents became widely recognised in the USA in the 1960s and since then ...

Maltreatment 211 Epidemiology Obviously, ascertainment methods and definitions will strongly influence reported rates. In Englan ...

212 Chapter 27 Clinical picture Physical abuse The child is usually presented with some form of injury. The history from the fam ...

Maltreatment 213 always the mother) who has induced the illness. The child is usually brought repeatedly by the mother to hospit ...

214 Chapter 27 Older children are left to wander away from home and are exposed to a variety of risks, for example, playing on r ...

Maltreatment 215 2 Rejection and withdrawal of affection. No warmth or cuddles are offered to the child, who is continually spur ...

216 Chapter 27 parent or another trusted adult; telephone helplines are increasingly used too. Changes in behaviour are common. ...

Maltreatment 217 Table 27.1Prediction of intervention success Factor Better outcome Worse outcome Parental Acceptance of problem ...

218 Chapter 27 Thus, pre-existing or constitutional impairments may have predisposed the child to being abused. For example, an ...

Maltreatment 219 Development of self-concept Maltreated children find it difficult to talk about themselves, and especially abou ...

220 Chapter 27 Resilience How common is it for abused children to be resilient, that is, to develop normally despite their adver ...

Maltreatment 221 confusion and anxiety about their sexual identity. The proportion who go on to be sexually abusive of others is ...

222 Chapter 27 well as an enquiry about the possible abusive practices, set within the context of overall parenting and family l ...

Maltreatment 223 of semen, venereal disease and pregnancy should be considered. Because recovery from the physical sequelae can ...

224 Chapter 27 controlled trials suggest they help reduce symptoms and distress. Groups may help children achieve cognitive unde ...

Maltreatment 225 Subject review Gilbert Ret al.(2009a) Child Maltreatment 1: Burden and consequences of child maltreatment in hi ...

...